Many children with ADD or ADHD (the two terms are often used interchangably. Sometimes you hear of ADD-inattentive type or ADD-hyperactive type. I will go into the differences between the two in a bit) can be successful in a regular education setting with a few modifications to their environment. But first, what is ADD?
Attention Deficit Disorder has seen fair share of press, often with the media getting it wrong! A child with ADD may be perfectly able to ATTEND to his or her environment, only they addend to everything in their environment; they can be what is called "stimulus bound". If something moves in their line of sight, they MUST see what it is.. If something changes in their environment, they MUST check it out. For many of these kids, it is really not an option; it can be simply how their brains are wired. The really great news about kids with ADD? They can make the best multi-taskers out there!
The difference between the two 'forms' of ADD are this; you have known of, or seen, the child who is hyperactive. The media, and movies, have had a decent representative of these sorts of behaviors. A child who has ADD-inattentive, however, can often go undiagnosed simply because they are NOT a behavior problem in the classroom. These are your daydreamers, your children who may appear to be paying attention, but are often not even hearing the discussion. If you believe your child may meet this description, a conversation with your doctor may be in order, because your teacher will not be the one brining the issue to your attention; the teacher may not even notice because there nothing TO notice..
However, in a traditional American classroom, a child with ADD poses a problem to both his teacher and himself. He can often act out, or be impulsive, causing a distraction to others in the class. While this is going on, he is not learning, but neither is anyone else! With a reduction in stimuli, many teachers report a reduction in these impulsive behaviors. So, what sorts of reductions are we talking about?
Many researches believe florescent lights (those lights that illuminiate nearly every single classroom on earth?!) can impact a child with ADD (as well as a child with Autism, epilepsy, or a child prone to migraine). The constant flicker that a non-ADD brain can ignore is seen by a child who has ADD. Natural light is best whenever possible. If a teacher is willing to open her blinds in the classroom and turn OFF the overhead lights, often there can be an improvement in ADD symptoms.
Your traditional concept of an elementary classroom is also ripe with distractors. All the bright colored posters, the word walls, the pictures, the items dangling from the ceiling? Every single item on the wall can pose a distraction for a child with ADD. Not that anyone wants to learn in a room that mimics a jail cell, but if teachers are willing to forego a few of the decorations, or even have a corner of their room free from visual distractions, they may be rewarded by a reduction of behaviors, simply because there is less stimuli for a child to attend to!
Some in-class modifications that have been proven successful for children with ADD include the following:
- Reduce florescent lights and increase natural light
- Reduce the amount of visual stimulation on the walls
- Increase the amount of auditory stimulation by introducing 'white noise' in the classroom (background noise of rain, or something similar)
- Allow for a stimulus-free area of the classroom, with perhaps a study carrol.
- Allow a child to move around a bit in the classroom; pacing in the back, or sitting on a posture-ball. By keeping their bodies gently moving, their brains can focus better.
- If a posture-ball is not an option, see if a "wiggle seat" would be acceptable.
- Keep a point-sheet with rewards for positive behavior in the classroom, Rewards should be immediate at first, then tapered off to be more delayed.
Of course, there are kids who have ADD so severely that they do need additional intervention. The next step, as I mentioned in a previous post, is to seek out a 504-plan for your child.
To medicate, or not to medicate; that is the question!!
The knee-jerk reaction to a diagnosis of ADD is to think of medication. Many parents are understandably concerned about giving their child medicine for a behavioral condition, and I can see their point. The question to ask yourself is this one:
is my child's behavior impacting their ability to learn? If behaviors can be managed by external modifications of their environment, and some behavior modification with point-sheets and rewards, then medication is probably not necessary.
However, if the interventions mentioned above have been tried, and have failed to improve your child's ability to attend to, and learn from, their school environment, then it is my personal and professional opinion that medication needs to be considered as a viable option. I have known students whose behavior is incredibly intrusive and inappropriate, and they were soon labeled "troublemakers" by their school. It is my firm opinion that these children were NOT trouble-makers, but were simply
NOT IN CONTROL OF THEIR ACTIONS. Their ADD was so severe, they were truly not able to stop themselves. To not medicate a child who meets those descriptions, to expect him or her to change on their own, is unreasonable and unfair to that child. When you have tried everything else, and have not meet with success, it is time to have that talk with your child's doctor.
Educationally yours,
The Sped Guru